211261 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351921 Page 1 of 1
ONE CIVIC SQUARE DUNCAN APPLIANCE SERVICE CHECK AMOUNT: $176.00
?o CARMEL, INDIANA 46032 11404 CENTRAL DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 211261
CHECK DATE: 7/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 07918 88 . 00 EQUIPMENT REPAIRS & M
1120 4350000 07989 88 . 00 EQUIPMENT REPAIRS & M
Duncan Appliance Service
317-844-0420, www.duncanappliance.com
91404 Central Drive East , Carmel, IN 46032
Carme/Carmel fire #4 7/20/12, # 07918
3242 E 106th St Washer, LG
Carmel, IN 46033 WM 0642 HW/01 , 902KVVSB00374
Found bolt on motor loose. Tightened bolt and tested unit, all functions ok.
by Steve D Parts Total
Labor
S.Call 88.00
Sales Tax 0.00
Total Ticket 88.00
1 have reviewed this form and approve its contents. Acting for myself(or as agent for the listed party)
1 agree to make timely payment of all sums awed(and, if I fail in that,to pay all associated collection costs, Total Monies Received: $O.00
including attorneys fees, plus interest at the rate 1.5 percent per month). Balance due = $88.00
Duncan Appliance Service
317-844-0420, www_duncana ppliance.com
'1404 Central Drive East ., Carmel, IN 46032
Carme/Carmel fire #4 7/20112, # 07989
540 W 136th St Refrigerator, Subzero
Carmel, IN 46032 6801 S, M 1833331
All unit's need new icemakers,spoke with the chief and they do not want to repair
units.
by Tony O Parts Total
Labor
S_Call 88.00
Sales Tax 0.00
Total Ticket 88.00
Total Monies Received: 50.00
Balance due = S88.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duncan Appliance Service
IN SUM OF $
11404 Central Drive East
Carmel, IN 46032
$176.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 07918 43-500.00 $88.00 1 hereby certify that the attached invoice(s), or
1120 07989 43-500.00 $88.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except JUL 3 0 2017
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07918 $88.00
07989 $88.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer